Provider Demographics
NPI:1215722202
Name:PARITALA, SATYA PRIYA
Entity type:Individual
Prefix:MS
First Name:SATYA PRIYA
Middle Name:
Last Name:PARITALA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 RICK FRANCIS ST # 41007
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2841
Mailing Address - Country:US
Mailing Address - Phone:915-215-6040
Mailing Address - Fax:
Practice Address - Street 1:130 RICK FRANCIS ST # 41007
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2841
Practice Address - Country:US
Practice Address - Phone:915-215-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10085714390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program